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KMID : 0858420110130030099
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Korean Journal of Stroke
2011 Volume.13 No. 3 p.99 ~ p.106
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Focused Update of 2009 Korean Clinical Practice Guidelines for the Surgical or Interventional treatment of Extracranial Carotid Artery Stenosis in Secondary Prevention of Stroke
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Jung Keun-Hwa
Yu Kyung-Ho
Kwon O-Ki
Park Hyeon-Seon
Hong Keun-Sik
Heo Ji-Hoe
Kwon Sun-Uck
Oh Chang-Wan
Bae Hee-Joon
Lee Byung-Chul
Kim Seong-Rim
Park In-Sung
Yoon Byung-Woo
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Abstract
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Since the publication of the fi rst edition of Korean clinical practice guidelines of secondary stroke prevention, encouraging data from recent large clinical trials and meta-analysis have led us to consider many therapeutic options in the treatment of symptomatic extracranial carotid stenosis. Accordingly, the writing group of Clinical Research Center for Stroke decided to provide recent views on the therapeutic revascularization of extracranial carotid stenosis, and timely evidence-based recommendations. In this updated version, new evidences about carotid angioplasty/stenting, treatment timing, and perioperative preparation are given, and qualifying conditions for operator are elucidated. This refi nement was based on current consensus between Korean Society of Intravascular Neurosurgery, Korean Society of Interventional Neuroradiology, and Korean Society of Cerebrovascular Surgery and approved by Korean Stroke Society, Korean Neurological Association, and Korean Society of Geriatric Neurology. These recommendations are subject to future correction based on new evidences from ongoing and future studies.
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KEYWORD
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Practice guideline, Symptomatic extracranial carotid artery stenosis, Carotid endarterectomy, Carotid artery angioplasty/stent
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